ATI Infections

A nurse is caring for a client who is about to being taking isoniazid to treat tuberculosis. The nurse should instruct the client to report which of the following adverse effects of the drugs? Select all that apply a. Jaundice b. Numbness of the hands c. Dizziness d. Hearing loss e. Oral ulcers

a. Jaundice b. Numbness of the hands c. Dizziness

A nurse in a providers office receives a call from a client who has been taking penicillin V three times daily and reports abdominal cramping with bloody diarrhea for several days. Which of the following instructions should the nurse give the client? a. bring in stool sample for testing b. take the drug only twice daily c. use an OTC anti-diarrhea medication

a. bring in stool sample for testing

A nurse is preparing to administer amphotericin B IV to a client who has a systemic fungal infection. Which of the following drugs should the nurse prepare to administer prior to the infusion to prevent or minimize adverse reactions? Select all that apply a. Aspirin b. Hydrocortisone c. Acetaminophen d. Diphenhydramine e. Ibuprofen

c. Acetaminophen d. Diphenhydramine

A nurse is caring for a client who has a new prescription for acyclovir to treat a herpes simplex infection. Which of the following lab values should the nurse monitor for this client? a. Prothrombin time b. Hct c. BUN d. Aspartate aminotransferase

c. BUN

A nurse in a providers office receives a call from a client who is taking amoxicillin to treat a respiratory infection and reports a rash and wheezing. Which of the following instructions should the nurse give the client? a. Wait 1 hr and contact the provider if there is no improvement. b. Skip today's dose of amoxicillin and resume taking the drug tomorrow. c. Call emergency services immediately. d. Take an NSAID to reduce skin and airway inflammation.

c. Call emergency services immediately.

When administering oral erythromycin to a client who has cute diphtheria, a nurse should monitor for which of the following adverse effects? a. Hypothermia b. Blurred vision c. Constipation d. Cardiac dysrhythmias

d. Cardiac dysrhythmias

A nurse is caring for a client who has a gynecologic infection and a history of alcohol use disorder. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it? Select all that apply. a. Nitrofurantoin b. Amoxicillin c.Aztreonam d. Cefotetan e. Metronidazole

d. Cefotetan e. Metronidazole

A nurse is caring for a client whose sputum culture results indicate methicillin-resistant Staphylococcus aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered to the client? a. Trimethoprim/sulfamethoxazole b. Tetracycline c. Cephalexin d. Vancomycin

d. Vancomycin

a nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. Which of the following findings in the clients medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider? a. Glaucoma b. Closed-head injury c. Heart failure d. Renal impairment

d. renal impairment

A nurse is caring for a client who is taking ciprofloxacin to treat a urinary tract infection. The client also takes prednisolone to treat rheumatoid arthritis. Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects? a. Tachycardia b. Hair loss c. Insomnia d. Tendon pain

d. tendon pain

A nurse in a providers office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client? a. Take an antacid at least 2 hr after taking the drug. b. Take the drug with a cup of coffee. c. Take an iron supplement with the drug. d. Take the drug with 240 mL (8 oz) of milk.

a. Take an antacid at least 2 hr after taking the drug.

A nurse is caring for a client who is taking warfarin and has a new prescription for trimethoprim/sulfamethoxazole to treat a UTI. The nurse should clarify the prescriptions with the provider because taking these 2 drugs concurrently can increase the clients risk for which of the following? a. Bleeding b. Thrombosis c. ECG changes d. Ototoxicity

a. bleeding

A nurse is reviewing a clients prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs? a. Ethacrynic acid b. Diphenhydramine c. Acetaminophen d. Levothyroxine

a. ethacrynic acid

A nurse is caring for a client who is about to being taking metronidazole to treat an anaerobic intra-abdominal bacterial infection. The nurse should recognize that cautions use of the drug is indicated if the client also has which of the following conditions? a. Seizure disorder b. Hearing loss c. Asthma d. Anemia

a. seizure disorder

A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client? a. Nafcillin b. Azithromycin c. Cephalexin d. Amoxicillin/clavulanic acid

b. Azithromycin

A nurse in a providers office receives a call from a client who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following? a. Hemorrhoids b. Clostridium difficile-associated diarrhea c. Diverticular disease d. Small bowel obstruction

b. Clostridium difficile-associated diarrhea

A nurse is caring for a client who has a new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics? a. First generation cephalosporins b. Third generation cephalosporins c. Monobactams d. Macrolides

b. Third generation cephalosporins

A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions? a. Heart failure b. Dehydration c. Asthma d. Tinnitus

b. dehydration

A nurse in a providers office receives a call from a client who was recently hospitalized and treated with imipenem IV for a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug? a. Malabsorption b. Superinfection c. Anorexia d. Dental caries

b. superinfection

A nurse is caring for a client who has a prescription for rifampin to treat tuberculosis. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin? a. Gentamicin b. Vancomycin c. Isoniazid d. Metronidazole

c. Isoniazid

A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a urinary tract infection. The nurse should tell the client to report which of the following adverse effects of the drugs? a. Constipation b. Dark brown urine c. Cough d. Tremors

c. cough

A nurse is caring for a client who is about to being taking itraconazole to treat a fungal infection. The nurse should instruct the client to report which of the following adverse effects of the drug? a. Tingling in the hands and feet b. Joint pain c. Swelling of hands or feet d. Excessive sweating

c. swelling of hands or feet

A nurse is caring for a client who is about to being gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following? a. Bowel function b. Peripheral pulses c. Urine output d. Level of consciousness

c. urine output

A nurse is administering cefotetan IV to a client to treat an intra-abdominal infection. The nurse notes that the IV insertion site is warm, edematous, and painful to the touch. Which of the following actions should the nurse take? a. Decrease the rate of the cefotetan infusion. b. Administer diphenhydramine to the client. c. Request a prescription for another antibiotic. d. Stop the cefotetan infusion.

d. Stop the cefotetan infusion.

A nurse is providing teaching for a client who takes an oral contraceptive and is about to being rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include? a. Increase the rifampin dose. b. Increase the oral contraceptive dose. c. Allow 2 hr between taking the two drugs. d. Use a non-hormonal form of contraception.

d. Use a non-hormonal form of contraception.